荀子的经济制度伦理思想及其现代价值

当前学界对于荀子经济制度伦理思想的研究十分少见。荀子的经济制度及其制度伦理蕴涵源于人性恶的道德起源论,义利辩证统一的义利观、“欲”、“物”“相持而长”的可持续发展观和朴素的分配正义观念是其经济制度伦理思想的主体内涵,它对于当前我国的伦理经济和市场经济体制建设主要在“义利两有”、“以义制利”的制度伦理导向可以促进“经济人”和“道德人”的有效统一,保障市场经济秩序的稳定和谐与可持续性发展,以及树立分配正义观念,促进制度创新,提高制度运作效率等方面有一定的启示意义。     

长期护理保险居家护理项目的伦理基础与制度保障

长期护理保险居家护理项目包括家庭照护类和上门护理类,以孝道文化和尊老敬老文化为伦理基础。各地试点政策均对居家护理项目进行了规定。但家庭照护类项目中参保人家属在确定非正式护理人员和维系家庭照护质量中承受着伦理压力,上门护理类项目中上门护理员在维系护理质量和上门护理市场中承受着伦理压力。制度解决相关伦理问题,应允许参保老年人自由选择现金或服务支付,推进家政行业建设,对家庭照护质量维系提供支持,并建立统一的居家上门护理质量标准和考核制度,建立针对养老服务机构上门护理的惩罚和退出制度。

     

“医学伦理学再启程”亟待破解的医学伦理课题

面临新境遇的医学伦理学,亟待破解的医学伦理课题有：医疗资本和医疗利益集团追求利润最大化的行为对公立医疗机构公益性造成持续性损害;医学高新技术僭越伦理底线,无限制地对身体进行技术干预;医学技术权力与医学高新技术、医疗资本结盟形成挑战医学伦理的异化力量;确立利益伦理是医学伦理学研究的重要内容;确认患者利益置于首位是现代医学伦理学的首要原则;促进美德伦理与规范伦理结合,推进制度伦理建设与机构伦理建设是医学伦理学落地生根的关键环节。

     

多元、平等,重疗效——费耶阿本德医学观初探

当代西方科学哲学家费耶阿本德认为,一方水土孕育一方医学,一方医学守护着一方住民的健康,医学是多元论而不是一元论;多元医学之间应平等竞争、相互补充,和谐共存;疗效是检验多元医学理论的标准,疗效是医学生存发展之本。费耶阿本德医学哲学思想对中医发展具有重要的借鉴意义。     

(STILL) DISAGREEING ABOUT CLIMATE CHANGE: WHICH WAY FORWARD?

Why does climate change continue to be a forceful idea which divides people? What does this tell us about science, about culture, and about the future? Despite disagreement, how might the idea of climate change nevertheless be used creatively? In this essay I develop my investigation of these questions using four lines of argument. First, the future risks associated with human‐caused climate change are severely underdetermined by science. Scientific predictions of future climates are poorly constrained; even more so the consequences of such climates for evolving human socio‐technological and natural ecosystems. Second, I argue that to act politically in the world, people have to pass judgments on the facts of science; facts do not speak for themselves. Third, because these judgments are different, the strategic goals of policy interventions developed in response to risks associated with future climate change are inevitably multiple and conflicting. Finally, reconciling and achieving diverse goals requires political contestation. “Moving forward” on climate change then becomes a task of investing in the discursive and procedural preconditions for an agonistic politics to work constructively, to enable ways of implementing policies when people disagree.     

Extra ecclesiam nulla revelatio?: God’s self-disclosure to non-Christian religions in contemporary Catholic theology

The author explores the conciliar and post-conciliar documents of the Catholic Church in order to draw out the tensions and ambiguities of its position regarding the nature and role of revelation in the origin of non-Christian religions. Within the framework of this position, moderate Catholic theologians have argued that, as other religions have their origins in God’s specific self-disclosure, they differ only in degree from Christianity. Their arguments combined with an in-depth analysis of Church documents yields the conclusion that the position of the Catholic Church is logically amenable to an affirmation of religious pluralism de iure. If the Catholic Church desires to officially reject this conclusion, it must explicitly address the apparent inconsistencies that its own theologians find in this rejection.     

‘Hijab envy’: the visible angst of immigrant Christians in a pluralist Canada

This article explores the predilection of Christians of immigrant background to perceive themselves as a disadvantaged group in the new reality of Canada’s growing religious diversity. The present inquiry challenges loss as the definitive emotional register for Christian engagement with Canada’s new religious minorities, demonstrating that religious minorities have elicited begrudging admiration and envy from their Christian counterparts. This inquiry insists that contemporary Canada, not ‘Christian Canada’, is the most important frame for understanding the perceptions and predilections of the Christians in this study. It argues that pluralist ideals, the policy instruments, and social practices that carry these ideals and the cultural forums that display and debate these ideals shape not only the ‘attitudes’ of young Christians, but also the regimes of visibility in which and from which they operate. While scholars impute an increasing visibility to religion, this article demonstrates that the array of affects between viewer and viewed are highly variable and context specific.     

The pros and cons of funnel plots as an aid to risk communication and patient decision making

Funnel plots, which simultaneously display a sample statistic and the corresponding sample size for multiple cases, have a range of applications. In medicine, they are used to display treatment outcome rates and caseload volume by institution, which can inform strategic decisions about health care delivery. We investigated lay people's understanding of such plots and explored their suitability as an aid to individual treatment decisions. In two studies, 172 participants answered objective questions about funnel plots representing the surgical outcomes (survival or mortality rates) of institutions varying in caseload, and indicated their preferred institutions. Accuracy for extracting objective information was high, unless question phrasing was inconsistent with the plot's survival/mortality framing, or participants had low numeracy levels. Participants integrated caseload‐volume and outcome‐rate data when forming preferences, but were influenced by reference lines on the plot to make inappropriate discriminations between institutions with similar outcome rates. With careful choice of accompanying language, funnel plots can be readily understood and are therefore a useful tool for communicating risk. However, they are less effective as a decision aid for individual patient's treatment decisions, and we recommend refinements to the standard presentation of the plots if they are to be used for that purpose.     

Receiving slaps,receiving words. The violence of separation in a public service time limited psychotherapy group for adolescents

The authors propose a reflection on a time-limited psychoanalytic group for children, adolescents and families, run in a public service. Some patients in the group give accounts of violent relationships and traumatic experiences. The accounts of violent, interpersonal and intrapsychic relationships influence the group’s capacity of thinking, which leads to difficulties in the processing of symbolic aspects. The fundamental question is that of whether it is possible to work in a time-limited, institutional, psychoanalytical framework, in which psychotherapists have to attempt to give meaning to experiences which take place in a repetitive present, in a space/time in which the prospect of a conclusion appears to be inconceivable. By means of a clinical example, and with particular emphasis on the first sessions and the dream brought up by a patient who has been a victim of domestic violence, the authors discuss the possibility of modifying, chiefly from within, the feeling of the immutability of early psychic material, which is itself intrinsically violent.     

Models Clarified: Responding to Langdon Gilkey

We respond to concerns raised by Langdon Gilkey. The discussion addresses the nature of theological thinking today, the question of truth within the situation of pluralism, the identity and difference between theological models and scientific models, and the proposed methods for testing theological models.